* High medical costs
* Highest maternal mortality among developed countries
* Highest income gaps
* High education cost & the vicious circle of college debt.
* Increasing trends of bankruptcy & paycheck-to-paycheck sustenance.
* Lack of public transportation issues in most places
* Very oil dependent economy.
* Gun violence. So many lives needlessly lost every year.
* Growing mental health & opiod crisis
* Lack of public awareness about current affairs (& to some extent apathy even)
* Waning trust in judiciary & in parallel the rise of the rich oligarchy
* Interference in politics of other countries
* Equality of diversity (in true sense) is still to be achieved given racial profiling persists
* The extent of personal freedom without state agencies keeping track of activities.
It definitely has successes but there is a long road to being a model nation. But US as a nation has demonstrated the capacity to overcome odds in fortitude. There is hope - but a sense of cautious hope